HomeMy WebLinkAbout3406 Camelot Dr - Permits/Reroof - 02/08/2012F,`roC
ollins
Site Address: 3406 CAMELOT DR
Job Valuation: $900.00 Category: Residential
Owner: MALONE KIMBERLEY JO
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1200620
Issued Full: 02/08/2012
Permit Type: Residential Roofing
3406 CAMELOT DR
FORT COLLINS, CO 80525-2812 Phone:481-5553
Zoning: Front setback: Rear setback: Right setback: Left setback:.
Minor Amend M Plat File #: ZBA Case M
Zoning district: RL - LOW DENSITY RESIDENTIAL DISTRICT
Legal: Subdivision/PUD:
Filing #: Lot #: Block #:
'Code: Res sq ft: Com sq ft:
Ind sq ft:
Basement sq ft:
# of stories: Occ Group:
Const Type:
Fire Sprklr: Stock plan #:
Stock plan options:
Contractor: BERNA ROOFING
License #: R-1719
Supervisor cert#:
2927 BASSICK ST
FORT COLLINS, CO 80526
Phone: 970-412-2022
Subcontractor(§1` MSir.`x
.'Phone
License Number
Roofing: )2 BERNA ROOFING
r'S
970 412-2022
R 1719
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Work Description: TER OFF TO DECK AND
PROVIDE REQUIRED ATTIC VENTILATION.
9 SQS 30 YEAR ASPHALT SH
II SCHEDULE INSPECTIONS: *** By Phone: 970-221-6769 *** By Web: http://amos.fcgov.com/CitizenAccess II
'*'By Mobile Device: http://amos.fcgov.com/CitizenAccess/amca/
Inspections: RF
TOTAL FEES PAID AS OF 02/08112: S56.93 Payment method: Credit Card
Fee Detail Displayed on Next Page
As a condition for the issuance of a peril, I hereby declare that I am the owner or owners agent, authorized to perform the proposed work on the property described herein.
I agree to comply with all the requirements contained herein, and City ordinances, and State laws associated with such work. 1 understand that such permit may be
revoked in the event that issuance was based on incorrect information. This permit shall become null and void if the work authorized by such permit is not commenced,
suspended, abandoned or not inspected within 180 days from the date of such pemL
Carbon Monoxide Alarm required within 15 feet of each bedroom entrance.
Signature: Print Name: Date:
Form Revised Oct 2010
F6rt Collins
Site Address: 3406 CAMELOT DR
Job Valuation: $900.00 Category: Residential
Transactions
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1200620
Issued Full: 02/08/2012
Permit Type: Residential Roofing
Credit Card
02/08/2012
$56.93
ALEX CHAVARRIA CC
Receipt issued: 02/08/2012
Total Paid to Date: $56.93
Fee Description
Account Code
Fee Amount
Amount Paid
Date Paid
Amount Due
Building Permit Fee Without
1000.422010
$36.00
$36.00
02/08/2012
$0.00
Subs
City Sales/Use Tax
251.122030
$17.33
$17.33
02/08/2012
$0.00
County Sales/Use Tax
100.217030
$3.60
$3.60
02/08/2012
$0.00
TOTAL FEES:
$56.93
$56.93
$0.00
TOTAL BALANCE DUE AS OF
02/08/2012:
0.00
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Fee Amounts are valid for date of this document only. Fees subject to change without notice.